NPI 1477852838
Est LLC
Practice location
- Address
- 115 S 10th Ave, Pasco, WA 99301-6806
- Phone
- (509) 545-0596
- Fax
- (509) 547-3355
- Mailing address
- 107 Erica Dr, Richland, WA 99352-8463
Authorised official
- Name
- Eslam Mohamed
- Title
- Pharmacist / Owner
- Phone
- (732) 762-4960
Registered specialties (2)
Community/Retail Pharmacy
Primary
Long Term Care Pharmacy
Registry record
- NPI
- 1477852838
- Entity type
- Organization
- NPI issued
- 23 Mar 2011
- Record last updated
- 10 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.